| NPI | 1306508049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.182871.MEDS-IV) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2022-08-01 |